Melvin Gregory Moore in Johnson City - General Practice
Melvin Gregory Moore - NPI 1891866893
Melvin Gregory Moore is a General Practice in Johnson City, Tennessee. Melvin Gregory Moore practices all healthcare services and medical treatments related to General Practice. The NPI Number for Melvin Gregory Moore is 1891866893. The last update date is 2007-07-08.
Melvin Gregory Moore's current location address is 4723 N Roan St, Johnson City, Tennessee. You can contact this provider via phone number 4232830511 and fax number 4232830899. The mailing address for Melvin Gregory Moore is 4723 N Roan St, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melvin Gregory Moore |
|---|---|
| Address | 4723 N Roan St, Johnson City, Tennessee |
| Phone Number | 4232830511 |
| Fax Number | 4232830899 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1891866893 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4723 N Roan St |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376153886 |
| Phone Number | 4232830511 |
| Fax Number | 4232830899 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 7175 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Melvin Gregory Moore by the Centers for Medicare & Medicaid Services (CMS)?
The Melvin Gregory Moore has been assigned the NPI (National Provider Identifier) 1891866893. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Melvin Gregory Moore located?
The Melvin Gregory Moore is located at 4723 N Roan St, Johnson City, TN 376153886.
What is Melvin Gregory Moore's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Melvin Gregory Moore is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891866893 to Melvin Gregory Moore?
The Centers for Medicare & Medicaid Services originally issued the 1891866893 to Melvin Gregory Moore on 2006-11-13.
As of what date were the Melvin Gregory Moore's details last updated?
The information pertaining to the Melvin Gregory Moore, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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